TAYLOR KUJAWA (OD) – Optometrist, NPI 1477428183

TAYLOR KUJAWA (OD) is a healthcare provider. based in Fredericksburg, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618003575 (VA). The NPI Number for TAYLOR KUJAWA (OD) is 1477428183

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR KUJAWA (OD)
NPI
1477428183
Phone
(540) 371-2020
Address
110 CAMBRIDGE ST
Enumeration Date
10 October 2025
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5403712020
Graduation Year
2024 (2 years ago)
PAC ID
9335638477
Group Practice PAC ID
5193710036
Professional Enrollment ID
I20251029003266
Address ID
VA224051924FR110XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for TAYLOR KUJAWA (OD)

  • 110 CAMBRIDGE ST

    FREDERICKSBURG, VA 224051924

    Phone: (540) 371-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251029003266IOptometryVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193710036View full group profile
NameSpecialtyState
-VA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YIN
O P T O M E T R YVA
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

Can I cross-check TAYLOR KUJAWA (OD) using NPI 1477428183?
NPI 1477428183 belongs to TAYLOR KUJAWA (OD); compare other details if you need extra assurance.
Is TAYLOR KUJAWA (OD) still an active registrant?
TAYLOR KUJAWA (OD) carries an active NPI according to the public dataset.
What expertise is attributed to TAYLOR KUJAWA (OD)?
TAYLOR KUJAWA (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Virginia is TAYLOR KUJAWA (OD) registered?
Use Fredericksburg, Virginia as the headline location for TAYLOR KUJAWA (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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